EL-11-269 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-229823 Permit Number: EL-2-11-269
Scheduled Inspection Date:April 21,2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: BUTLER,JACQUELINE Work Classification: Addition
Job Address:1461 NE 102 Street
Miami Shores, FL 33138-2621 Phone Number
Parcel Number 1132050240140
Project: <NONE>
Contractor: LONGMAN ELECTRIC INC Phone: (305)758-1211
Building Department Comments
NEW HOUSE ALL ELECTRIC& LIGHTING Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-229619. Need the low voltage
E�r finals first.
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
April 20,2015 For Inspections please call:(305)762-4949 Page 14 of 66
Miami Shores Villageti '
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
Phone: (305)795-2204 ,E � ^� R 3, ..°
Expiration: 08/28/2011
Project Address Parcel Number Applicant
1461 NE 102 Street 1132050240140
Miami Shores, FL 33138-2621 Block: Lot: JACQUELINE BUTLER
Owner Information Address Phone Ceti
JACQUELINE BUTLER 1461 NE 102 Street
MIAMI SHORES FL 33138-2621
Contractor(s) Phone Cell Phone $ 25,000.00
LONGMAN ELECTRIC INC (305)758-1211 Valuation:
Total Sq Feet: 0
Type of Work:ELECTRICAL Available Inspections:
Additional Info:NEW HOUSE Inspection Type:
Classification:Residential
Scanning:1
Fees Due ]$20.00
Pay Date Pay Type Amt Paid Amt Due
CCF Invoice# EL-2-11.40102
DBPR Fee 03/04/2011 Check#:4933 $944.26 $0.00
DCA Fee
Education Surcharge
Permit Fee-Additions/Alterations
Scanning Fee
Technology Fee Total:
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated
March 04,2011
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 04,2011 1
o30 R
Miami Shores Village FEB 17 20
a
Building Department ..........
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit No. I ' 01"" 1
PERMIT APPLICATION Master Permit No. _Z
FBC 20
Permit Type: Electrical
OWNER:Name(Fee Simple Titleholder): _J_AC Q1_f U Wt_ 74ALRA- Phone#:
Address: Iq Lo% 9
City: AM I q r"t State. 'F L Zip: 331 3t3
Tenant/Lessee Name: Phone#:
Email:
OB ADDRESS: I� , ��- tit72S
J CD
City: Miami Shores County: Miami Dade Zip: 33GS
Folio/Parcel#•
Is the Building Historically Designated:Yes NO PC" Flood Zone:
CONTRACTOR:Company Name: -�n/�r/�j¢.� JCG!�( C� Phone#:7B�o
Address:
City: j?Z 417W ^ State: �� zip: 33!�'•�
Qualifier Name: /h1 Gl/1 1'O- 1�n/G"/h�'��" Phone#:
State Certification or Registration#: ��_ J D C7 3 7/3 Certificate of competency#:
Contact Phone#: —2,64 q79--l361 Email Address:
DESIGNER:Architect/Engineer: 2_ :5h.9.ne#:
i
Value of Work for this Permit: Oko® . CC) Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration XNew ❑Repair/Replace"`/ ❑Demolition
Description of Work: sje W A 21- I
44��1
zi
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recordednotice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signatur Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ,201,by day of )14 20-U-,by ,
who is personally known to me or who has produced who is Rersona y known to r who has produced
As identiWwhodi ath. as identification and who did take an oath.
NOTARY PUBLIC: RES:,��2oi4 NOTARY P IC:
t�utrsSign: tAAA Sign:Print• L 5 HozaAs. Print: CW-Loi
My Commission Expires: 3o 4 80 ?pn( My Commission Expires: NOTARY 1Us11�1�OF RMA
=Commission*DD668890
'Expires: APR.30,2011
APPROVED BY4;�
�K I1�Loe-0 Pans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)